Impact of the 2015 Middle East Respiratory Syndrome Outbreak on Emergency Care Utilization and Mortality in South Korea
Identifieur interne : 000528 ( Main/Exploration ); précédent : 000527; suivant : 000529Impact of the 2015 Middle East Respiratory Syndrome Outbreak on Emergency Care Utilization and Mortality in South Korea
Auteurs : Sun Young Lee [Corée du Sud] ; Young-Ho Khang [Corée du Sud] ; Hwa-Kyung Lim [Corée du Sud]Source :
- Yonsei Medical Journal [ 0513-5796 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Republic of Korea.
- mortality : Coronavirus Infections.
- Disease Outbreaks, Emergency Medical Services, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Prevalence, Severity of Illness Index.
Abstract
In May 2015, South Korea experienced an epidemic of Middle East respiratory syndrome (MERS). This study investigated the impacts of MERS epidemic on emergency care utilization and mortality in South Korea.
A natural experimental study was conducted using healthcare utilization and mortality data of the entire Korean population. The number of monthly emergency room (ER) visits was investigated to identify changes in emergency care utilization during the MERS epidemic; these trends were also examined according to patients' demographic factors, disease severity, and region. Deaths within 7 days after visiting an ER were analyzed to evaluate the impact of the reduction in ER visits on mortality.
The number of ER visits during the peak of the MERS epidemic (June 2015) decreased by 33.1% compared to the average figures from June 2014 and June 2016. The decrease was observed in all age, sex, and income groups, and was more pronounced for low-acuity diseases (acute otitis media: 53.0%; upper respiratory infections: 45.2%) than for high-acuity diseases (myocardial infarctions: 14.0%; ischemic stroke: 16.6%). No substantial changes were detected for the highest-acuity diseases, with increases of 3.5% for cardiac arrest and 2.4% for hemorrhagic stroke. The number of deaths within 7 days of an ER visit did not change significantly.
During the MERS epidemic, the number of ER visits decreased in all age, sex, and socioeconomic groups, and decreased most sharply for low-acuity diseases. Nonetheless, there was no significant change in deaths after emergency care.
Url:
DOI: 10.3349/ymj.2019.60.8.796
PubMed: 31347336
PubMed Central: 6660446
Affiliations:
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sortKey="Lee, Sun Young" sort="Lee, Sun Young" uniqKey="Lee S" first="Sun Young" last="Lee">Sun Young Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Health Policy and Management, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Emergency Medicine, Seoul National University Hospital, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Khang, Young Ho" sort="Khang, Young Ho" uniqKey="Khang Y" first="Young-Ho" last="Khang">Young-Ho Khang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Health Policy and Management, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Hwa Kyung" sort="Lim, Hwa Kyung" uniqKey="Lim H" first="Hwa-Kyung" last="Lim">Hwa-Kyung Lim</name><affiliation wicri:level="1"><nlm:aff id="A3">Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Yonsei Medical Journal</title><idno type="ISSN">0513-5796</idno><idno type="eISSN">1976-2437</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronavirus Infections (mortality)</term><term>Disease Outbreaks</term><term>Emergency Medical Services</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care</term><term>Prevalence</term><term>Republic of Korea (epidemiology)</term><term>Severity of Illness Index</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Indice de gravité médicale</term><term>Infections à coronavirus (mortalité)</term><term>Mâle</term><term>Prévalence</term><term>République de Corée (épidémiologie)</term><term>Services des urgences médicales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Republic of Korea</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>République de Corée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Emergency Medical Services</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care</term><term>Prevalence</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Prévalence</term><term>Services des urgences médicales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>In May 2015, South Korea experienced an epidemic of Middle East respiratory syndrome (MERS). This study investigated the impacts of MERS epidemic on emergency care utilization and mortality in South Korea.</p></sec><sec><title>Materials and Methods</title><p>A natural experimental study was conducted using healthcare utilization and mortality data of the entire Korean population. The number of monthly emergency room (ER) visits was investigated to identify changes in emergency care utilization during the MERS epidemic; these trends were also examined according to patients' demographic factors, disease severity, and region. Deaths within 7 days after visiting an ER were analyzed to evaluate the impact of the reduction in ER visits on mortality.</p></sec><sec><title>Results</title><p>The number of ER visits during the peak of the MERS epidemic (June 2015) decreased by 33.1% compared to the average figures from June 2014 and June 2016. The decrease was observed in all age, sex, and income groups, and was more pronounced for low-acuity diseases (acute otitis media: 53.0%; upper respiratory infections: 45.2%) than for high-acuity diseases (myocardial infarctions: 14.0%; ischemic stroke: 16.6%). No substantial changes were detected for the highest-acuity diseases, with increases of 3.5% for cardiac arrest and 2.4% for hemorrhagic stroke. The number of deaths within 7 days of an ER visit did not change significantly.</p></sec><sec><title>Conclusion</title><p>During the MERS epidemic, the number of ER visits decreased in all age, sex, and socioeconomic groups, and decreased most sharply for low-acuity diseases. 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sortKey="Kim, Hj" uniqKey="Kim H">HJ Kim</name></author><author><name sortKey="Eun, Sj" uniqKey="Eun S">SJ Eun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stukel, Ta" uniqKey="Stukel T">TA Stukel</name></author><author><name sortKey="Schull, Mj" uniqKey="Schull M">MJ Schull</name></author><author><name sortKey="Guttmann, A" uniqKey="Guttmann A">A Guttmann</name></author><author><name sortKey="Alter, Da" uniqKey="Alter D">DA Alter</name></author><author><name sortKey="Li, P" uniqKey="Li P">P Li</name></author><author><name sortKey="Vermeulen, Mj" uniqKey="Vermeulen M">MJ Vermeulen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levine, Gn" uniqKey="Levine G">GN Levine</name></author><author><name sortKey="Bates, Er" uniqKey="Bates E">ER Bates</name></author><author><name sortKey="Blankenship, Jc" uniqKey="Blankenship J">JC Blankenship</name></author><author><name sortKey="Bailey, Sr" uniqKey="Bailey S">SR Bailey</name></author><author><name sortKey="Bittl, Ja" uniqKey="Bittl J">JA Bittl</name></author><author><name sortKey="Cercek, B" uniqKey="Cercek B">B Cercek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Furie, Kl" uniqKey="Furie K">KL Furie</name></author><author><name sortKey="Jayaraman, Mv" uniqKey="Jayaraman M">MV Jayaraman</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Lee, Sun Young" sort="Lee, Sun Young" uniqKey="Lee S" first="Sun Young" last="Lee">Sun Young Lee</name></noRegion><name sortKey="Khang, Young Ho" sort="Khang, Young Ho" uniqKey="Khang Y" first="Young-Ho" last="Khang">Young-Ho Khang</name><name sortKey="Khang, Young Ho" sort="Khang, Young Ho" uniqKey="Khang Y" first="Young-Ho" last="Khang">Young-Ho Khang</name><name sortKey="Lee, Sun Young" sort="Lee, Sun Young" uniqKey="Lee S" first="Sun Young" last="Lee">Sun Young Lee</name><name sortKey="Lim, Hwa Kyung" sort="Lim, Hwa Kyung" uniqKey="Lim H" first="Hwa-Kyung" last="Lim">Hwa-Kyung Lim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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